Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures

Michael Willey; Brian R Wolf; Baris Kocaglu; Annunziato Amendola

Back

Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures

Journal article

Open access

Peer reviewed

Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures

Michael Willey, Brian R Wolf, Baris Kocaglu and Annunziato Amendola

The Iowa orthopaedic journal, Vol.30, pp.55-60

2010

PMCID: PMC2958271

PMID: 21045972

Appears in Diamond Open Access

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958271/View

Published (Version of record) Open Access

Abstract

Debate remains regarding whether knee realignment osteotomy should be performed concomitantly with additional major knee reconstruction procedures or if it should be performed in a staged fashion. The purpose of this study is to analyze complications that occur when distal femoral osteotomy or high tibial osteotomy is performed concomitantly with other significant reconstructive procedures. Thirty-five patients with a minimum of one year follow up were identified. These patients underwent either high tibial or distal femoral osteotomy with concomitant significant additional knee reconstruction which included cartilage resurfacing requiring an arthrotomy, ligament reconstruction, meniscal transplantation, or extensor mechanism realignment requiring tibial tubercle osteotomy. Overall, 13/35 (37%) of these patients suffered at least one major or minor complication. Major complications occurred in 20.0% (7/35) and minor complications occurred in 25.7% (9/35). In conclusion, the rate of complication for combined osteotomy and reconstructive knee surgery is similar to that seen in cases of osteotomy done alone and combined surgery is advocated.

Osteotomy - adverse effects

Pain, Postoperative - etiology

Follow-Up Studies

Humans

Middle Aged

Male

Young Adult

Knee Joint - surgery

Adult

Female

Femur - surgery

Retrospective Studies

Risk Factors

Exostoses - epidemiology

Reconstructive Surgical Procedures - methods

Bone Malalignment - surgery

Tibia - surgery

Venous Thrombosis - etiology

Exostoses - etiology

Pain, Postoperative - epidemiology

Venous Thrombosis - epidemiology

Adolescent

Reconstructive Surgical Procedures - adverse effects

Equipment Failure

Osteotomy - methods

Details

Title: Subtitle: Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures
Creators: Michael Willey - Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
Brian R Wolf
Baris Kocaglu
Annunziato Amendola
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.30, pp.55-60
PMID: 21045972
PMCID: PMC2958271
NLM abbreviation: Iowa Orthop J
ISSN: 1541-5457
eISSN: 1555-1377
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
Language: English
Date published: 2010
Academic Unit: Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Injury Prevention Research Center
Record Identifier: 9984040331002771

Metrics

19 Record Views